Rhytidectomy, also known as rhytidoplasty or more commonly as a facelift, is the surgical procedure to reduce sagging and wrinkling face and neck skin. This is achieved by redraping the face and neck skin, tightening the underlying muscles, and/or removing fatty deposits. Other procedures like forehead lifts, rhinoplasty or eyelid surgery are often performed in conjunction with a facelift to further resolve the effects of aging.

Depending upon each patient and each surgeon, procedures and techniques will vary greatly, but on the whole you can expect the following:facelift procedures typically take between two and four hours, though more extensive or multiple procedures may take longer or even require two separate sessions. Facelift surgery can be performed in an office, surgical center, or hospital. The procedure is most typically done under some combination of local anesthesia, mild sedative, and/or mild intravenous anesthesia on an outpatient basis, though some cases may be performed on an inpatient basis, requiring an overnight stay in the hospital, particularly when using general anesthesia or for patients with conditions requiring additional post-operative care.

Incisions are most typically placed within in the hairline and passing in front of and behind the ears. The surgeon may then remove fatty deposits and/or tighten sagging muscles before lifting the skin up, removing the excess, and suturing it into place. Following surgery, the entire area where the incisions have been made is typically protected with a dressing. This usually includes a loose wrapping around the head which can minimize swelling and bruising. A small tube may be temporarily placed underneath the skin behind the ear in order to drain any blood that can collect there.

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